<!DOCTYPE html>
<html>
	<head>
		<title>
			Request Access
		</title>
		
		<meta charset="utf-8">
		<link rel="stylesheet" href="css/structure.css" type="text/css" />
		<link rel="stylesheet" href="css/form.css" type="text/css" />
		<link rel="stylesheet" href="css/navigation.css" type="text/css" />

		<script src="js/info.js"></script>
	</head>

	<body id="public">
		{{ nav|safe }}
		<div id="container" class="ltr">
			<form id="form" name="form" class="wufoo topLabel page" method="post" action="/request-admin">
			
				<header id="header" class="info">
					<h1>You have {{ status }} level access.</h1>
					
					<h2>Request Access</h2>
	
					<div>
						Enter your password.
					</div>
				</header>
				
				<ul>
					<li class="">
						<label class="desc" for="initials">
							Initials
							<span class="req">*</span>
						</label>
						<div>
							<input id="initials" name="initials" type="text" class="field text medium" value="{% if initials %}{{ initials }}{% endif %}" maxlength="3" tabindex="1" onkeyup="" required />
						</div>
					</li>
					
					<li class="">
						<label class="desc" for="pw0">
							Editor Password
						</label>
						<div>
							<input id="pw0" name="pw0" type="password" class="field text medium" value="" maxlength="255" tabindex="1" onkeyup=""/>
						</div>
					</li>
					
					<li class="">
						<label class="desc" for="pw1">
							Admin Password
						</label>
						<div>
							<input id="pw1" name="pw1" type="password" class="field text medium" value="" maxlength="255" tabindex="1" onkeyup=""/>
						</div>
					</li>
					
					<li class="buttons">
						<div>
							<input id="saveForm" name="saveForm" class="btTxt submit" type="submit" value="Submit" />
						</div>
					</li>
				
				</ul>
			</form> 
		</div>
	</body>
</html>